HONE NUMBER: Revised 08/2012 Page 1 of 10 Initials _____________ BUSINESS LICENSE UPDATE INSTRUCTIONS Note to Licensee Requests for information are in relation to the performance of semi-annual reviews of gaming licensees to ensure compliance of IRGC licensing standards. During the period of licensure, the Iowa Racing and Gaming Commission (IRGC) continues to monitor the operation of the company/business entity and the conduct of the parties involved with the assistance of the Iowa Divisio.

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How to fill out the IA Class D Update Casino Operators/ Not-for-Profit online

This guide is designed to assist users in effectively completing the IA Class D Update Casino Operators/ Not-for-Profit form online. By following the outlined steps, you will be able to provide all necessary information clearly and accurately.

Follow the steps to complete your form properly

  1. Click ‘Get Form’ button to obtain and open the form in the editor.
  2. Begin with Section 1: Business Entity Information. Fill in the name of the business entity as it appears on official documents, along with the trade name, address, and contact information. Ensure that all entries are typed or printed clearly.
  3. Answer item 2 regarding changes to the inside board of directors since the last update. If there have been changes, list the new members and their contact details.
  4. In item 3, list any new partner, stockholder, officer, or owner holding 5% or more of the business. Provide their name, address, position held, and relevant contact information.
  5. Proceed to item 4. If applicable, describe any changes in the beneficial ownership of equity securities of the corporation since the last update, including transaction dates and details.
  6. Continue with item 5, where you will need to provide a current ownership structure chart or organization chart of the business entity and its relationship to affiliates.
  7. Next, complete Section 2 regarding legal, administrative, or regulatory proceedings. Answer items 7 through 14, providing all required supporting documentation for any reported incidents.
  8. Lastly, complete the Statement of Truth and Verification by Applicant sections. Ensure that the applicant’s signature is notarized, and all necessary authorizations are provided.
  9. After filling out all sections, review the entire form for completeness and accuracy. Make any necessary corrections before finalizing.
  10. Save the changes to your form, then download, print, or share it as required.

Complete and file your IA Class D Update Casino Operators/ Not-for-Profit form online today for a smooth licensing process.

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